Safety and Compliance Flashcards
7 cards from real FRACGP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Safety and Compliance flashcards as text
A GP is asked by an employer to conduct a pre-employment medical without the prospective employee's full understanding of what will be reported. What is the key ethical concern?
Answer: The patient may not have given fully informed consent if they do not understand what information will be disclosed
Patients must be clearly informed about the purpose, scope, and recipients of disclosed information before consenting to a third-party medical assessment.
Under the RACGP infection prevention and control standards, what is the minimum requirement for reprocessing of semi-critical instruments (e.g., vaginal specula) used in general practice?
Answer: High-level disinfection or sterilisation
Semi-critical instruments that contact mucous membranes require high-level disinfection or sterilisation to prevent transmission of infection.
A patient with poorly controlled type 2 diabetes drives a heavy vehicle commercially. Which obligation does the GP have?
Answer: Advise the patient of their legal obligation to notify the licensing authority and document this discussion
GPs must advise patients of their legal duty to self-report to licensing authorities when a medical condition may affect driving safety, and document this advice.
Which of the following is a recognised risk factor for diagnostic error in general practice?
Answer: Premature closure — accepting an early diagnosis without considering alternative diagnoses
Premature closure is one of the most common cognitive biases leading to diagnostic error, where a GP stops considering alternatives once an initial diagnosis seems plausible.
A GP is approached by a pharmaceutical company representative offering gifts and educational events. What guidance do the RACGP ethical guidelines provide?
Answer: Gifts should not be accepted if they could influence prescribing, and educational events must be transparent and not a vehicle for promotion
RACGP guidelines state that accepting gifts or hospitality that could influence clinical decisions represents a conflict of interest that undermines patient trust and prescribing integrity.
What is the correct classification of an incident where a patient receives the correct medication but at an incorrect dose, resulting in a hospital admission?
Answer: Adverse event (serious harm)
An adverse event is an incident resulting in unintended patient harm; if it causes serious harm such as hospital admission, it is classified as a serious adverse event.
In the context of FRACGP competency, which of the following best demonstrates safe prescribing practice for an elderly patient with renal impairment?
Answer: Adjusting doses based on eGFR, checking for renally cleared drugs, and reviewing the complete medication list for interactions
Safe prescribing in renal impairment requires dose adjustment for renally cleared medications using eGFR and a comprehensive medication review to minimise toxicity risk.